FDA Adverse Event
Malfunction
Summary report: N
PROLENE POLYPROPYLENE SUTURE
MDR report key: 67754
·
Received February 4, 1997
Report
- Report Number
- 2210968-1997-00013
- Event Type
- Malfunction
- Date Received
- February 4, 1997
- Report Date
- January 6, 1997
- Manufacturer
- ETHICON, INC.
- Product Code
- GAW
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
SUTURE BREAKAGE. OUTCOME TO PT DOES NOT DENOTE ADVERSE EVENT. MDR REGULATIONS OF 7/31/96 REQUIRES REPORTING OF INCIDENT COULD RECUR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PROLENE POLYPROPYLENE SUTURE Implant | NON-ABSORBABLE SUTURE | GAW | ETHICON, INC. | NA | JJE419 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NO INFO |